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Showing results for "pressure injury".
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201. Spinal Epidural Abscess | PSNet
     psnet.ahrq.gov/web-mm/spinal-epidural-abscess
     November 13, 2019 - The most common risk factors for SEA are diabetes mellitus, intravenous drug use, trauma, and alcohol … Yi Lu, MD, PhD Director, Neurosurgical Trauma Co-director, Adult Deformity and Scoliosis Surgery Assistant … March 1, 2005 WebM&M Cases Missing the Point—Eye Injury … More Related Resources WebM&M Cases Under Pressure … Pitfalls February 1, 2010 WebM&M Cases Missing Trauma

202. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-470
     December 31, 2024 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … continuing challenge of preventing falls and explores strategies for preventing falls and falls with injury

203. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy | PSNet
     psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
     July 08, 2022 - The patient developed generalized urticaria, bronchospasm requiring high airway pressures to achieve … Latex is essential to these plants to heal surface injuries and create immune responses against invading … Thus, unexplained hypotension, tachycardia, and high airway pressure for adequate ventilation (due to … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury

204. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-471
     December 31, 2024 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … continuing challenge of preventing falls and explores strategies for preventing falls and falls with injury

205. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-469
     December 31, 2024 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … continuing challenge of preventing falls and explores strategies for preventing falls and falls with injury

206. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
     February 01, 2007 - Umpires make crucial split-second decisions under conditions of substantial pressure and uncertainty, … Rarely, the error may cause injury or death. … And of course there is increasing pressure on the system to get it right, to not make so many mistakes … Yet the pressures in the market around pay for performance and transparency may conspire to begin stripping

207. A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries | PSNet
     psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
     July 23, 2024 - riskier. 13 Babies delivered via cesarean section are at risk for respiratory problems and surgical injury … A 2014 study of women who gave birth found that 14.8% of respondents perceived pressure from a clinician … www.mayoclinic.org/tests-procedures/c-section/about/pac-20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound … Patient-perceived pressure from clinicians for labor induction and cesarean delivery: a population-based

208. Who Nose Where the Airway Is? | PSNet
     psnet.ahrq.gov/web-mm/who-nose-where-airway
     May 01, 2016 - how a safety pin could be aspirated, or a non-deformable endotracheal tube connector might cause a pressure … injury to the nares if left in place for more than a brief period.

209. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
     psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
     January 29, 2021 - diuresis, diarrhea, and fluid restriction, they ordered blood products and albumin to increase oncotic pressure … responsive to fluid resuscitation,” with the added requirement for vasopressors to maintain a mean arterial pressure … perforations. 21 Other identified risk factors include older age, presence of comorbidities, 22 acute kidney injury

210. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
     June 01, 2005 - a particular patient safety intervention is going to save large numbers of lives or reduce serious injuries … intervention, they referred to any event that resulted in the emergency team being called—low blood pressure … the error caught by their regular physician, others would experience asymptomatic reduction in blood pressure … July 14, 2010 Measurable outcomes of quality improvement in the trauma intensive care

211. It's All in the Syringe | PSNet
     psnet.ahrq.gov/web-mm/its-all-syringe
     February 01, 2013 - add-on visits, and unexpected staff absences could all have increased the day's workload and production pressure … Insulin errors and injuries are common among hospitalized patients.( 4-9 ) The risk of treatment-related

212. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care | PSNet
     psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
     February 24, 2022 - Dental care providers are advised to: If possible, perform procedures in a negative pressure room … 6 feet apart, especially in counties with substantial or high transmission. 25 Using a negative pressure … create several challenges, including the desire to limit exposure to patients, fatigue, burnout, and pressure … care. 66 Managing necessary deviations from well-rehearsed practice, while under additional budgetary pressures … Remote diagnosis of traumatic dental injuries using digital photographs captured via a mobile phone.

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60328/psn-pdf
     May 27, 2020 - depression, of which 77% resulted in severe brain damage or death.13 Most of these opioid-related injuries … oximetry (SpO2) to monitor patient oxygenation and ventilation.31 Capnography measures the partial pressure … Patients Receiving Opioid PCA Monitoring Component Assessment Types Vital Signs Heart Rate Blood Pressure

214. Two Wrongs Don't Make a Right (Kidney) | PSNet
     psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
     April 01, 2010 - recognized as a sentinel event—an unexpected occurrence involving death or serious physical or psychological injuries … markings, surgeon fatigue, numerous surgeons, multiple procedures on the same patient, atypical time pressures

215. The Other Side | PSNet
     psnet.ahrq.gov/web-mm/other-side
     May 01, 2007 - is increased when multiple procedures are performed on the same patient, when a team is under time pressure … Error disclosure for patients, however, is merely the first step in a long process of adjustment to an injury

216. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
     psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
     May 26, 2021 - depression, of which 77% resulted in severe brain damage or death. 13 Most of these opioid-related injuries … oximetry (SpO 2 ) to monitor patient oxygenation and ventilation. 31 Capnography measures the partial pressure … Opioid PC A Monitoring Component Assessment Types Vital Signs Heart Rate Blood Pressure

217. Signout Fallout | PSNet
     psnet.ahrq.gov/web-mm/signout-fallout
     November 16, 2022 - sentinel events—defined as "an unexpected occurrence involving death or serious physical or psychological injury … Post-Tracheostomy Care May 29, 2024 WebM&M Cases Under Pressure

218. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
     psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
     January 29, 2021 - The trauma team was called to assist and the patient was given additional sedation and opioid analgesia … The trauma surgeon then manipulated both TMJs and was finally able to unloose the locked jaw. … diagnosis and a physician experienced in reducing the TMJ should be consulted to minimize the risk of injury … Placing staff under too much time pressure can, at times, be counterproductive and can adversely affect

219. A Fatal Twist in Pseudohyperkalemia | PSNet
     psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
     February 10, 2021 - On arrival at the ED, he was afebrile, heart rate was 98 beats per minute (bpm), blood pressure was 103 … especially in busy clinical settings such as the ED. 2–4 Hemolysis is defined as a generalized process of injury … WebM&M Cases Intraosseous Line Extravasation in a Pediatric Trauma

220. Long-Term Care and the Response to COVID-19 | PSNet
     psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
     October 28, 2020 - individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure … In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls